During this appointment it is appropriate for the clinician and assistant to be positive and upbeat with the patient, in order to reinforce the patient's feeling of excitement and satisfaction that the denture fabrication process is nearly completed. Whenever appropriate, compliment the patient on her/his new dental appearance, and sprinkle in friendly advice about proper use of the new dentures and about what to expect in the near future.
Pressure indicating spray is used on the dry intaglio surface to disclose areas of tissue pressure. The Hydent spray can is held 6-8" away from the denture and a light coating of disclosing medium is sprayed onto the intaglio surface. The material should be dry before insertion in the mouth; if it is wet or running, too much spray was used or the spray was too close to the denture. After placement and removal from the mouth, adjust exposed acrylic areas with an acrylic bur. The objective is to relieve areas that have potential to cause discomfort, not necessarily to create "perfect fit."
With dentures in place, have the patient bite firmly on posterior positioned cotton rolls for several minutes, to seat the dentures against the soft tissues.
Obtain and confirm a centric relation record between the upper and lower posterior teeth.
Mount the lower denture with its remount model. To make the mounting "error-free," make sure to secure the lower cast in position with the upper cast using burs or sticks with glue or sticky wax.
After the mounting stone sets, remove the wax record and adjust the occlusion to optimal centric and eccentric contacts.
Remove the dentures from the articulator and clean off all stone, wax, paste, etc. Repolish the acrylic as necessary.
Deliver the dentures to the patient.
Inform the patient about what to expect with new dentures, about best practices for denture use and care, and schedule the follow-up appointments (typically one week intervals).
Compliment the patient for cooperating so far; assure the patient that you will be following up in the near future to achieve the best results. Advise the patient that sore spots in the first week are to be expected; if the patient is unable to wear the dentures for the entire week, ask the patient to place the dentures back in the mouth one day before the adjustment appointment so that you will be able to see inflammation associated with pressure spots.